Southern Medical Supply of Georgia (llc)

NPI #1992167316 in Morrow, Georgia

Provider Information

NPI Number
1992167316
Entity Type
Organization
Organization Name
Southern Medical Supply of Georgia (llc)
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 24, 2016
Last Updated
Jun 29, 2016

Practice Location

Address
7183 JONESBORO RD
Address 2
#100-A
City
Morrow
State
Georgia
ZIP Code
30260-2955
Phone
(678) 369-1009

Authorized Official

Name
MRS. KAYNECIA MORROW
Title
MANAGER
Phone
(678) 369-1009

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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